Individual
DR. ANGELA C GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 W GRAND RIVER AVE, SUITE 1, OKEMOS, MI 48864-2394
(517) 381-6870
(517) 381-6871
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
4301077613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1603306482
BCBS INDIVIDUAL PIN
MI
01
—
200000002045
PHP PIN #
MI
05
—
4309154
—
MI
05
—
4309163
—
MI
05
—
4457738
—
MI
Enumeration date
09/27/2006
Last updated
12/31/2007
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